Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $32.36 / $954.99	Facility		$22.91	$32.36	$954.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $57.54 / $218.78	Professional		$23.99	$57.54	$218.78
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $125.89 / $125.89 / $208.93	Professional	50	$125.89	$125.89	$208.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,089.30 / $4,073.80	Facility		$1,202.26	$2,089.30	$4,073.80
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $2,089.30 / $3,715.35 / $9,549.93	Facility	50	$2,089.30	$3,715.35	$9,549.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $67.61 / $120.23	Professional		$41.69	$67.61	$120.23
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $61.66 / $100.00 / $169.82	Professional	50	$61.66	$100.00	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $123.03 / $295.12	Facility		$87.10	$123.03	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $87.10 / $144.54	Professional		$52.48	$87.10	$144.54
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $117.49 / $229.09	Facility		$95.50	$117.49	$229.09
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $79.43 / $131.83	Professional		$52.48	$79.43	$131.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $67.61 / $1,737.80	Facility		$29.51	$67.61	$1,737.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $91.20 / $407.38	Professional		$33.88	$91.20	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $2,238.72 / $4,265.80	Facility		$977.24	$2,238.72	$4,265.80
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $77.62 / $218.78	Professional		$31.62	$77.62	$218.78